BUFFALO OCCUPATIONAL THERAPY PLLC (NPI# 1174130587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174130587 |
| Entity Type | Organization |
| Organization Name | BUFFALO OCCUPATIONAL THERAPY PLLC |
| Practice Address |
40 Gardenville Pkwy W Ste 221 West Seneca NY 14224-1399 |
| Practice Telephone | 7162353013 |
| Practice Fax Number | 7162355795 |
| Mailing Telephone | 7162353013 |
| Mailing Fax Number | 7162355795 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | MRS. MICHELLE CYNTHIA ELIASON (OWNER) |
| Authorized Official Telephone | 7162353013 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BUFFALO OCCUPATIONAL THERAPY PLLC | 40 Gardenville Pkwy W. Ste 221, West Seneca, New York 14224 |
| Street Address |
40 GARDENVILLE PKWY W STE 221 |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750758538 | Kirsten Marie Grimes | Clinic/Center | 355 Harlem Rd, West Seneca, NY 14224-1892 | 2015-08-27 |
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| 1609431576 | Maimonides Bone and Joint Faculty Practice Physical Therapy | Clinic/Center | 6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079 | 2019-05-07 |
| 1144780990 | New York Fitness Professionals | Clinic/Center | 175 Memorial Hwy Ste Ll1, New Rochelle, NY 10801-5642 | 2019-03-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
Please comment or provide details below to improve the information on BUFFALO OCCUPATIONAL THERAPY PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.